Pharmacist, Advisor

🔥 5 minutes ago

🇺🇸 United States – Remote

💵 $90.9k - $129.9k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

💊 Pharmacist

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Gainwell Technologies

WebsiteLinkedInAll Job Openings

10,000+ employees

💼 Consulting

📦 Logistics

⚕️ Healthcare Insurance

💰 Grant on 2023-06

Consulting • Logistics • Healthcare Insurance

Gainwell Technologies is the nation’s leading provider of digital and cloud-enabled solutions across the human services and public health ecosystem. With a mission-driven approach, Gainwell serves clients in all 50 U. S. states, focusing on improving health outcomes and delivering intuitive, human-centered experiences. Their comprehensive suite of solutions includes Medicaid Enterprise modernization, data analytics, provider services, and pharmacy solutions, all designed to advance the future of healthcare and enhance community well-being.

📋 Description

• Ensure compliance with state and federal regulations, including Medicaid requirements • Conduct clinical evaluations of medication therapy, including prior authorization reviews and drug utilization assessments • Perform peer-to-peer consultations with providers • Support prescriber outreach for identified clinical interventions • Provide clinical guidance to call center teams • Support pharmacy-related inquiries and escalations • Contribute to quality improvement initiatives and program optimization • Develop best practices • Support state meetings • Assist with state-required deliverables related to account operations • Provide broader clinical and operational support beyond prior authorization responsibilities • Collaborate with cross-functional teams to enhance program performance and patient outcomes • Align pharmacy strategies with regulatory requirements and organizational objectives

🎯 Requirements

• 2–4 years of clinical pharmacy experience required • Strong knowledge of clinical pharmacy programs, drug utilization review, and regulatory requirements • Experience with Medicaid/Medicare pharmacy programs or PBM environments preferred • Strong analytical, communication, and stakeholder engagement skills • Must support a 10:00 AM–7:00 PM CST work schedule for prior authorization coverage • Remote-based within the United States • Pharmacist clinical expertise and medication management knowledge

🏖️ Benefits

• Flexible working hours • Work-life balance • Continuous learning and career development • Generous, flexible vacation policy • 401(k) employer match • Comprehensive health benefits • Educational assistance • Leadership and technical development academies • 0–10% travel requirement